Peter G Fagan MD PA

NPI #1003970203 in Comanche, Texas

Provider Information

NPI Number: 1003970203
Entity Type: Organization
Organization Name: Peter G Fagan MD PA
Primary Specialty: Family Medicine
Enumeration Date: Dec 21, 2006
Last Updated: Feb 11, 2010

Practice Location

Address: 10201 HIGHWAY 16
City: Comanche
State: Texas
ZIP Code: 76442-4462
Phone: (254) 879-4900

Authorized Official

Name: PETER G FAGAN, M.D.
Title: SOLE PROPRIETOR
Phone: (254) 879-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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